Chiberekero cha chiberekero ndi chotupa chodziwika kwambiri mwa amayi. Madokotala amatha kudziwa kuti matendawa ndi otani m'dera lililonse lachiwerewere.
Chiberekero cha chiberekero ndi chosowa chofewa, chomwe chimakhala ndi mitsempha yambiri yolumikizira. Kukula kwake kungakhale kosiyana - kuchokera pa millimeters pang'ono mpaka 25 cm.
Pamene chotupa chikukula, chiberekero chimakula - monga momwe zimakhalira ndi mwana. Choncho, mwachibadwa kukula kwa fibroids kumawerengedwa mu masabata a mimba.
Madokotala amalingalira zazing'ono za fibromioma ngati kukula kwake ndizosakwana 1.5 masentimita, zomwe zimagwirizana ndi masabata asanu a mimba. Chifuwa chachikulu chimakhala chimodzimodzi ndi masabata 5-11 a mimba. Chotupa chachikulu chimatchedwa ngati kukula kwake kukuposa masabata 12.
Kodi ngozi ya fibroids ndi yotani?
- Maphunziro sakufuna kukhala chotupa cha khansa, komabe n'zotheka pa 2%.
- Kuthamanga kwa fibroids kumakhala kwanthawi yaitali komanso kwambiri. Izi zingachititse kuti magazi asapitirire kuchepa kwa magazi.
- Ngati fibromioma ikufalikira, imagwira ziwalo zina. Izi zimawonetseredwa ndi ululu, mu milandu yovuta, ntchito ya chikhodzodzo ndi m'matumbo imasokonezeka
- Fibromyoma ikhoza kuyambitsa matenda a mimba: kuperewera kwa pathupi, chitetezo cham'mbuyo cha placenta, kutuluka magazi.
- Pa nthawi ya ululu, chiopsezo cha chiberekero chimakula.
- Fibromioma ikhoza kuwavuta kuti mwanayo adutse mumtsinje wobadwa. Zimayambitsa hypoxia wa mwana wosabadwayo.
Pochepetsa kuchepetsa zoopsa, amayi apakati omwe ali ndi fibroids amafunika kuti aziyang'aniridwa ndi dokotala. Katswiri wa amayi ayenera kudziwidwa ndi zina, ngakhale zochepa, kusintha kwa thanzi.
Kodi matendawa amakula bwanji?
Pali matenda azimayi otha msinkhu wobereka, nthawi zambiri ali ndi zaka 30-35. Ali ndi zaka 45 mpaka 50, kuchuluka kwa ntchito zochotsa fibroids.
Chifukwa chiyani fibroids ikukula, madokotala sakudziwa panobe.
Gwirizanitsani maonekedwe a chotupa ndi:
- kusakhazikika kwa mahomoni. Matenda okhudzidwa ndi mahomoni amasonyeza kuti sakuwoneka mwa atsikana asanakwane msambo komanso kwa amayi omwe amatha msambo;
- chibadwa. Ngati amayi kapena agogo aakazi ali ndi fibromyoma, nthawi zambiri matendawa amawululidwa mwa mwana wamkazi;
- ntchito yovuta.
Mitundu ya fibroids
Madokotala amasiyanitsa mitundu yosiyanasiyana ya zotupa, malingana ndi kumene minofu ya minofu yambiri ikupezeka:
- ziphuphu zowonongeka - zimakula m'kati mwa chiberekero ndipo zimatsogoleredwa kumadera am'mimba;
- mapuloteni - mkati mwa khoma;
- malo ochepa - omwe ali pansi pa endometrium ndikukula mu uterine;
- zamoyo zam'mimba zam'mimba - zimakula mumimba ya chiberekero ndipo zimayang'aniridwa ndi mitsempha ya retreat kapena retroperitoneal ligament.
Ndani ali pangozi?
- Azimayi omwe ali ndi msambo (kumayambiriro kapena mochedwa kwambiri akuyamba kusamba, osasintha).
- Kuchotsa mimba. Izi ndizopangitsa kuti thupi likhale ndi nkhawa kwambiri.
- Amene anabereka pambuyo pa zaka 30.
- Azimayi olemera kwambiri. Minofu yakuda imatulutsa mahomoni achikazi ndi estrogen. Kuchuluka kwake kungawononge mapangidwe a chotupa.
- Azimayi omwe agwiritsira ntchito njira za kulera kwa mahomoni kwa nthawi yaitali.
Kodi zizindikiro za uterine fibroids ndi ziti?
Kawirikawiri matendawa ndi opatsirana. Kukula kwa fibroids kungasonyezedwe ndi:
- kuwonjezeka pa nthawi ya kusamba;
- kukodza nthawi zambiri;
- Zowawa zopweteka pamimba pamunsi kapena m'munsi kumbuyo;
- zowawa panthawi yogonana;
- sintha m'chiuno;
- mimba zingapo zomwe zinayambitsa kusokonekera.
Fibromyoma ya chiberekero ndi mimba
Nthaŵi zambiri, fibroids sichilepheretsa mimba. Kafukufuku wambiri amatsimikizira kuti kubala mwana, kubadwa kwa mwana pambuyo pake ndikuyamwitsa kwa nthawi yaitali kumapangitsa kukula kwa chifuwacho kumathandizira kuchepa kwake.
Nthawi ya Fibromyoma ndi postmenopausal
Mutangoyamba kumene kusamba, kuchuluka kwa estrogen kumachepa. Amayi ambiri, zotupa zimasiya kukula kapena kuchepa kukula. Ngati izi sizichitika, azimayi amalemba mankhwala.
Kodi ma fibromy amapezeka bwanji kunja?
Kuzindikira za uterine fibroids kumayamba ndi kusonkhanitsa mosamala za wodwala. Katswiri wa amai adzafunsa za kuyamba kwa msambo, nthawi yawo, matenda opatsirana pogonana, mimba ndi mimba.
Gawo lotsatira lachidziwitso lidzafufuza.
Ngati dokotala akuganiza kuti wodwalayo ali ndi chotupa, ayenera kuchitidwa ndi ultrasound. Phunziroli lidzadziwa molondola kumene malowa alili ndi kukula kwake. Njirayi imagwiritsidwa ntchito pofuna kukhazikitsa momwe chimfine chimakula.
Kuti mudziwe momwe chiwerengerocho chimakhalira, madokotala amagwiritsa ntchito MRI.
Colposcopy ndi hysteroscopy amalola dokotala kukayezetsa kachilombo ka HIV ndi uterine pogwiritsa ntchito makina apadera. Kotero dokotala amatsimikiza njira yowonjezeramo. Potsatira ndondomekoyi, chidziwitso cha minofu chikuchitidwa. Kufufuza zitsanzo mu microscope kumatsimikizira kuti kulibe maselo a khansa.
Thandizo, opaleshoni kapena kuona
Ngati chotupacho chikhala pafupifupi 1.5 masentimita, wodwalayo ali wamng'ono ndipo akukonzekera kukhala ndi mwana, chithandizo chapadera sichifunika. Chinthu chachikulu pa gawo lino ndikuteteza kukula kwa fibroids.
M'mayiko a CIS, odwala omwe ali ndi fibromyoma nthawi zambiri amapatsidwa mankhwala osokoneza bongo. M'zipatala zakunja mwambowu ukuyesera kuchokapo - njirayo sikuthandiza nthawi zonse kuleka kukula kwa matenda. Pankhaniyi, kudya kwa ma ARV nthawi zambiri kumakhudza thupi la mayi komanso kuthekera kwake kuti akhale ndi ana m'tsogolomu.
Kuchiza kwa fibromyoma m'makiritu akunja
Zipatala zamayiko akunja zimagwiritsa ntchito njira zothandizira:
- ZOKHUDZA. Dokotala amagwiritsa ntchito maselo a mapangidwe a ultrasound pansi pa ulamuliro wa MRI. Ndondomekoyi ndi yopweteka ndipo siimaphatikizapo kutayika kwa magazi, kotero ndizosatetezeka. Maola angapo pambuyo pake, mayi akhoza kuchoka kuchipatala. Pambuyo pa miyezi itatu mutatha, mungathe kukonza mimba.
- Kuzimitsa (zotsekedwa) za ziwiya zomwe zimadyetsa chisokonezo. Pogwiritsa ntchito makina a X-ray, kukonzekera kwakukulu kumaperekedwa kwa chida cha chikazi. Mitundu yake imatseka zotengera zomwe zimadyetsa chotupacho. Chifukwa chake, ulusi wa fibroids umachepa kukula kapena kutaya kwathunthu.
Ndondomeko imasonyezedwa ngati kukula kwa fibroids kumachepera 6 cm.
Ngati chotupacho chikukula, madokotala amachotsa nthendayi opaleshoni. Kwa ichi, opaleshoni ya laparoscopic imagwiritsidwa ntchito. Imachitidwa ndi opaleshoni ya SILS - kupyolera penti imodzi mu malo ozungulira. Njira ina imaphatikizapo opaleshoni ya m'mimba.
Kugwiritsa ntchito opaleshoni yogwiritsira ntchito thupi kumalola mkazi kutenga pakati ndi kubereka mwanayo atachotsedwa.
Makanema am'dziko lachilendo amasonyeza kuti atatha kugwira ntchito za amayi kuchotsa fibroids, amayi 85% akhalabe ndi mwayi wokhala ndi ana.
Zambiri zokhudzana ndi njira zothandizira froids kunja zingapezeke pa https://en.bookimed.com/.
Chiberekero chochotsedwa mu fibroids
Ndi fibroids, kuchotsedwa kwa chiberekero kungasonyezedwe. Ubwino wa njirayi ndikuti mungathe kuchotsa matendawa kamodzi kokha. Pambuyo pa opaleshoni yotereyi, kubwerera kwa matendawa sikuchotsedwa.
Chitani zododometsa zotere malinga ndi umboni:
- fibromyoma ya kukula kwakukulu;
- kukula mofulumira kwa chotupa;
- pali kukayikira kuti chotupacho chikuyamba kukhala khansa.
Kuteteza fibromyoma
Pofuna kupewa chotupa, madokotala amalimbikitsa amayi kuti azitsatira zakudya zoyenera, azidziyang'anira okha. Matendawa amadalira mahomoni, kotero mungathe kupulumutsa mwanayo ndi kubereka kwa nthawi yaitali.